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Description The WEEKEND Pre-Authorization Behavioral Health Professional 2 reviews prior authorization requests for appropriate care and setting, follows guidelines and policies, and approves services or forwards requests as needed. The Pre-Authorization ..
Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..
... and community outreach programs. Staff Registered Nurse This is an exceptional opportunity ... care team as a Staff Registered Nurse to ensure provision of quality ... with applicable federal..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in San Juan Puerto Rico Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews ..
... and community outreach programs. Staff Registered NurseThis is an exceptional opportunity ... care team as a Staff Registered Nurse to ensure provision of quality ... federal and state laws.,identifier:R0077491,industry:Las..
... The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately ... The Intern - Care Manager, Registered Nurse, RN, will utilize Humana's Florida ... action. The Care..
... and community outreach programs. Staff Registered NurseThis is an exceptional opportunity ... care team as a Staff Registered Nurse to ensure provision of quality ... state laws.,identifier:R0086619,industry:Carr Unit 2..
Job Information Humana RN Manager, Care Management/HMS (FULLY BILINGUAL English/Spanish) in San Juan Puerto Rico Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care ..
... The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... The Utilization Management Behavioral Health Nurse 2 work assignments are varied ... The Utilization Management Behavioral Health..
... and community outreach programs. Staff Registered NurseThis is an exceptional opportunity ... care team as a Staff Registered Nurse to ensure provision of quality ... state laws.,identifier:R0079283,industry:Carr Unit 2..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
... Humana RN Care Manager, Telephonic Nurse (Bilingual) - Puerto Rico in ... English. The Care Manager, Telephonic Nurse works in a telephonic environment. ... wellbeing. The Care Manager, Telephonic..
Job Information Humana Manager, Utilization Management RN - Remote in San Juan Puerto Rico Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... Join Us! The Utilization Management Nurse 2..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... action. Responsibilities The Utilization Management Nurse 2..
... Information Humana Care Manager, Telephonic Nurse 2 (Fully Bilingual RN with ... Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic..
Description The Care Manager, Telephonic Nurse 2 , in a telephonic ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... 5% Required Qualifications Active RN (Registered..
Job Information Humana Manager, Care Management/HMS (RN FULLY BILINGUAL with supervisory and Clinical exp) San Juan, PR in San Juan Puerto Rico Description The Manager, Care Management leads teams of nurses ..
... and community outreach programs. Staff Registered NurseThis is an exceptional opportunity ... care team as a Staff Registered Nurse to ensure provision of quality ... and state laws.,identifier:R0089284,industry:200 Plaza..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... Humana. Required Qualifications Active RN (Registered..
